Clinicoetiological profile and outcome of acute febrile illness with thrombocytopenia in children: a hospital based prospective study

Background: Thrombocytopenia is often the most commonly encountered clinical condition in this routine practice. Etiological causes being numerous, often pose a challenge in evaluating and treating the patients. The objective of this study was to find out the different causes and clinical profile of fever with thrombocytopenia in children aged 1month to 14 year who were admitted in this set up.Methods: This was a prospective study done on 200 patients with thrombocytopenia admitted IMS AND SUM Hospital, BBSR with various complaints, during the period of 01 August 2017 to 01 August 2019. This study includes age group 1months to 14 years.Results: The highest incidence of thrombocytopenia belonged to the age group 11-14 years (22.5%) followed by 6-9 years (19.5%) and 3-6 years (18%). Incidence of thrombocytopenia was more in male child (58.5%) as compared to female child (41.5%). the most common cause of thrombocytopenia was dengue (50%), Scrub typhus (34%) septicaemia (17.5%) followed by malaria (10.5%). Among the infectious aetiology severe thrombocytopenia was seen more in dengue (25%) and scrub typhus (34.5%) but evidence of bleeding was seen more in sepsis (34.2%) even with higher platelet count which may be explained by associated multi organ failure.Conclusions: Infections like malaria, dengue, leptospirosis and septicaemia were the common causes of thrombocytopenia along with scrub typhus. Whenever thrombocytopenia is detected further investigations can help us in reaching a correct diagnosis in the majority of the cases so that appropriate treatment can be given and also to avoid unnecessary platelet transfusion to prevent transfusion related complications.

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General practitioner referrals to exercise physiologists during routine practice: A prospective study

Journal of Science and Medicine in Sport ◽

10.1016/j.jsams.2018.10.005 ◽

2019 ◽

Vol 22 (4) ◽

pp. 478-483 ◽

Cited By ~ 4

Author(s):

Melinda Craike ◽

Helena Britt ◽

Alexandra Parker ◽

Christopher Harrison

Keyword(s):

General Practitioner ◽

Prospective Study ◽

Routine Practice ◽

A Prospective Study

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Clinical and aetiological spectrum of spontaneous pneumothorax in adults in Sub-Himalayan: a prospective study at tertiary care institute

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20180393 ◽

2018 ◽

Vol 4 (2) ◽

pp. 22

Author(s):

Ajay Sharma ◽

Ashok Sharma ◽

Pramod Jaret ◽

Malay Sarkar ◽

Sanjeev Sharma

Keyword(s):

Pulmonary Tuberculosis ◽

Prospective Study ◽

Spontaneous Pneumothorax ◽

Tertiary Care ◽

Primary Spontaneous Pneumothorax ◽

Age Group ◽

Outcome Indicators ◽

Secondary Spontaneous Pneumothorax ◽

A Prospective Study ◽

Aetiological Spectrum

Background: The spontaneous pneumothorax has been classified as major cause of morbidity and mortality among respiratory diseases. The objectives of the study were to determine the incidence and aetiology of spontaneous pneumothorax and to assess the clinical profile of affected patients admitted in our institute.Methods: A hospital based prospective study was conducted in year 2011-12 in the Department of Medicine, IGMC Shimla (H.P.) India. During study period the total admissions were 7335 out of which 30 patients were diagnosed as spontaneous pneumothorax and treated as cases under study. The data was collected on proforma includes demographic profile, probable cause, clinical and outcome indicators of Spontaneous Pneumothorax, master chart framed and analysed into frequency percentage. Results: Incidence of spontaneous pneumothorax was found to be 408.99/yr/100000 admissions in the department of medicine. Incidence of primary spontaneous pneumothorax was 81.79/yr/100000 admissions. Incidence of secondary spontaneous pneumothorax was 327.19/yr/100000 admissions. Majority of the patients of primary spontaneous pneumothorax were of the 20-29yrs age group. Higher proportions of cases were from male gender (93.33%). Secondary pneumothorax patients were mostly of 50 to 59 years age group. The predominant aetiology for secondary spontaneous pneumothorax was COPD (36.66%) followed by Pulmonary tuberculosis (33.33%).Conclusions: Spontaneous pneumothorax was more common in men. The predominant aetiology for secondary spontaneous pneumothorax was COPD (36.66%) followed by pulmonary tuberculosis (33.33%).

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Tsutsugamushi disease (scrub typhus) meningoencephalitis in north eastern India: A prospective study

Annals of Medical and Health Sciences Research ◽

10.4103/2141-9248.157486 ◽

2015 ◽

Vol 5 (3) ◽

pp. 163 ◽

Cited By ~ 9

Author(s):

SR Sharma ◽

H Masaraf ◽

KG Lynrah ◽

M Lyngdoh

Keyword(s):

Prospective Study ◽

Scrub Typhus ◽

Eastern India ◽

Tsutsugamushi Disease ◽

North Eastern ◽

North Eastern India ◽

A Prospective Study

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Severity and Frequency of Anemia in Different Age Group in 6 Months to 5 years Children: A Prospective Study at a Teaching Hospital in Rural Haryana, India

Highlights on Medicine and Medical Research Vol. 11 ◽

10.9734/bpi/hmmr/v11/2096f ◽

2021 ◽

pp. 26-31

Author(s):

Raghvendra Narayan ◽

Shivani Singh

Keyword(s):

Prospective Study ◽

Teaching Hospital ◽

Age Group ◽

A Prospective Study

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Direct referral hearing aid provision in the over sixties age group

The Journal of Laryngology & Otology ◽

10.1017/s002221510011744x ◽

1991 ◽

Vol 105 (10) ◽

pp. 825-827 ◽

Cited By ~ 7

Author(s):

Maurice R. Hawthorne ◽

Desmond A. Nunez ◽

Graham P. Clarke ◽

Desmond Robertshaw

Keyword(s):

General Practitioner ◽

Confidence Interval ◽

Prospective Study ◽

General Practitioners ◽

Hearing Aid ◽

Referral Letter ◽

Age Group ◽

Common Criterion ◽

A Prospective Study ◽

Direct Referral

AbstractA prospective study was designed in which General Practitioners were issued with a standard referral letter for hearing aid provision. Unknown to the General Practitioner an independent otolaryngologist assessment was obtained at the time of first attendance. Three hundred consecutive patients selected by General Practitioners applying these guidelines were seen in a designated hearing aid clinic staffed by audiological technicians of senior grade or above. Referral pro formata were incomplete in 75 patients who were not assessed. Ninety-four patients (31 per cent) (95 per cent confidence interval 29–36 per cent) were accepted by the audiologist. Obstructing wax was the most common criterion failed. Clinical agreement between audiologist and otolaryngologist was 57 per cent greater than chance. None of the cases of clinical disagreement altered treatment. A direct referral system as proposed could have processed only 31 per cent of 300 referrals. However, experienced technical staff reliably detected otological pathology and with aural toilet facilities 91 per cent of 225 patients (confidence interval 88–94 per cent) were aided.

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